Abstract

Previous studies have demonstrated that afternoon naps can have a negative effect on subsequent nighttime sleep in children. These studies have mainly been based on sleep questionnaires completed by parents. To investigate the effect of napping on such aspects of sleep quality, we performed a study in which child activity and sleep levels were recorded using actigraphy. The parents were asked to attach actigraphy units to their child’s waist by an adjustable elastic belt and complete a sleep diary for 7 consecutive days. 50 healthy young toddlers of approximately 1.5 years of age were recruited. There was a significant negative correlation between nap duration and both nighttime sleep duration and sleep onset time, suggesting that long nap sleep induces short nighttime sleep duration and late sleep onset time. We also found a significant negative correlation between nap timing and nighttime sleep duration and also a significant positive correlation between nap timing and sleep onset time, suggesting that naps in the late afternoon also lead to short nighttime sleep duration and late sleep onset. Our findings suggest that duration-controlled naps starting early in the afternoon can induce a longer nighttime sleep in full-term infants of approximately 1.5 years of age.

Highlights

  • Previous studies have demonstrated that afternoon naps can have a negative effect on subsequent nighttime sleep in children

  • The data suggested that both long nap duration and naps in the late afternoon induce short nighttime sleep duration and late sleep onset

  • The analysis suggested that late nap-end time leads to long nap duration since a significant positive correlation between the nap-end time and nap duration were found

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Summary

Introduction

Previous studies have demonstrated that afternoon naps can have a negative effect on subsequent nighttime sleep in children These studies have mainly been based on sleep questionnaires completed by parents. There have been several population studies concerning changes in the amount and diurnal distribution of infants’ and children’s sleep mainly based on sleep questionnaires completed by parents, indicating that the longer the nap durations of children, the later they went to bed[7,8,9,10]. To examine the effects of daytime nap on the nighttime sleep quality of young toddlers of approximately 1.5 years of age, we investigated the daytime napping patterns and nocturnal sleep-wake patterns of 50 children using actigraphy and examined if long nap duration deteriorates sleep quality in the subsequent night among toddlers. Our study is the first report on trends in actigraphic findings on daytime activity and nighttime sleep of young toddlers of 1.5 years of age, an age at which a regular child health examination is performed nationwide in Japan

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